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General NPI Number Information
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NPI Number | 1295186013
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Entity Type | Organization
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Legal Business Name | HIGH DENTISTRY
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 1450 S HAVANA ST STE 720
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City | AURORA
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State | CO
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Zip | 80012-4034
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Country | US
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Telephone | 303-693-2137
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 S HAVANA ST STE 720
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City | AURORA
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State | CO
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Zip | 80012-4034
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Country | US
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Telephone | 303-693-2137
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. IN CHUL CHOI
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Credential | D.D.S.
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Telephone | 303-693-2137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 8198
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License Number State | CO
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